HomeMy WebLinkAbout1125 COFFEE RD 2008 FMC RESULTS MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State of California
Authority Cited:Chapter 6.7,Health and Safety Code;Chapter 16,Division 3 Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility,a separate
certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank
system ownerloperator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date.
A.General Information
Facility Name: CHEVRON 203576 City: BAKERSFIELD CA Zip:93308
Site Address: 1125 COFFEE RD. Contact Phone No: 588-9066
Date of Testing/Service: 11/17/2008
Facility Contact Person: MANAGER
Make/Model of Monitoring System:TLS-350 Work Order Number: 3163334 I IIIIIII VIII III IIII 63
B.Inventory of Equipment Tested/Certified IE
Check the appropriate boxes to indicate specific equipment inspected/serviced
Tank ID: 1-91 Tank ID: 2-89
X In-Tank Gauging Probe. Model: MAG X In-Tank Gauging Probe. Model: MAG
X Annular Space or Vault Sensor. Model: VR-420 Annular Space or Vault Sensor. Model: VR-420
X Piping Sump/Trench Sensor(s). Model: VR-208 Piping Sumpi7rench Sensor(s). Model: VR-208
Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model:
Mechanical Line Leak Detector. Model: D Mechanical Line Leak Detector. Model:
X Electronic Line Leak Detector. Model: EPLLD X Electronic Line Leak Detector. Model: EPLLD
X Tank Overfill/High-Level Sensor. Model: ATG/FLAPPER Tank OverfilUHigh-Level Sensor. Model: ATG/FLAPPER
Other(specify equipment type and model in Section E on page 2). Other(specify equipment type and model in Section E on page 2).
Tank ID: Tank ID:
In-Tank Gauging Probe. Model: MAG In-Tank Gauging Probe, Model:
X Annular Space or Vault Sensor. Model: VR-420 Annular Space or Vault Sensor. Model:
X Piping Sump/Trench Sensor(s). Model: VR-208 Piping SumplTrench Sensor(s). Model:
Fill Sump Sensor(s). Model: Fill Sump Sensor(s). Model:
Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model:
X Electronic Line Leak Detector. Model: EPLLD Electronic Line Leak Detector. Model:
Tank Overfill/High-Level Sensor. Model: ATG/FLAPPER Tank Overfill/High-Level Sensor. Model:
Other(specify equipment type and model in Section E on page 2). Other(specify equipment type and model in Section E on page 2).
ispenser : 1 Dispenser ID: 2
®Dispenser Containment Sensor(s) Model: BEI 406 X Dispenser Containment Sensor(s) Model: BEI-406
RI Shear Valve(s). X Shear Valve(s)
0 Dispenser Containment Float(s)and Chain(s). 7 Dispenser Containment Float(s)and Chain(s).
Dispenser ID: 3 Dispenser ID: 4
X❑Dispenser Containment Sensor(s) Model:BEI-406 X Dispenser Containment Sensor(s). Model:BEI-406
x❑ Shear Valve(s). Shear Valve(s).
Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s).
Dispenser ID: 5 Dispenser ID: 6
X❑ Dispenser Containment Sensor(s) Model: BEI-406 X Dispenser Containment Sensor(s). Model:BEI-406
0 Shear Valve(s). X Shear Valve(s).
Dispenser Containment Float(s)and Chain(s). Dispenser Containment Float(s)and Chain(s).
If the facility contains more tanks or dispensers,copy this form.Include information for every tank and dispenser at the facility.
C. Certification
I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'guidelines.
Attached to this certification is information(e.g manufacturers'checklists)necessary to verify that this information is correct.
and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports,I have also attached
a copy of the(Check all that apply): System set-up X❑Alarm history report
T ec hnician Name(print): AXEL MEDINA Signature:
Certification No.: B-36644 License.No.: 743160(Class'A'General Enginering Contractor License)
Testing Company Name:Tanknology Phone No.: (800)800-4633
Site Address: 8501 N.MoPac Expressway,suite 400,Austin,TX 78759 Date of Testing/Servicing: 11/17/2008
Monitoring System Certification Page 1 of 3 I IIIIIII VIII III IIII 64 Based on CA form dated 03/01
IE
Monitoring System Certification
Site Address 1125 COFFEE RD. Date of Testing/Service: 11/17/2008
D. Results of Testing/Servicing
Software Version Installed: 327.04
Complete the following checklist:
E Yes No' Is the audible alarm operational?
Q Yes No* Is the visual alarm operational?
❑x Yes No' Were all sensors visually inspected,functionally tested,and confirmed operational?
Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not
Q Yes ❑No• interfere with their proper operation?
x Yes No' N/A If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational?
For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment
Yes ❑No' 1:1 N/A monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive
shut-down?(check all that apply) 0 Sump/Trench Sensors; 0 Dispenser Containment Sensors.
Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 0 Yes No
M Yes ❑No. N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.:no mechanical
overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating
properly? If so,at what percent of tank capacity does the alarm trigger? 2
Yes- No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the
manufacturer name and model for all replacement parts in Section E,below.
0
Yes* ❑No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) x❑Product;
❑X Water. If yes,describe causes in Section E,below.
Q
x Yes ❑No• Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable.
0 Yes ❑No• Is all monitoring equipment operational per manufacturers'specifications?
"In Section E below,describe how and when these deficiences were or will be corrected.
E. Comments:
Page 2 of 3 Based on CA form dated 03/01
Monitoring System Certification
Site Address: 1125 COFFEE RD. Date of Testing/Service: 11/17/2008
F. In-Tank Gauging / SIR Equipment
❑ Check this box if tank gauging is used only for inventory control.
❑ Check this box if no tank gauging or SIR equipment is installed.
Check this box if no tank gauging or SIR equipment is installed.
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
0 Yes ❑No Has all input wiring been inspected for proper entry and termination,including testing for ground faults?
❑Yes ❑No• Were all tank gauging probes visually inspected for damage and residue buildup?
OYes ❑No* Was accuracy of system product level readings tested?
❑Yes ❑No. Was accuracy of system.water level readings tested?
X Yes ❑No' Were all probes reinstalled properly?
0 Yes [:]No* Were all items on the equipment manufacturers'maintenance checklist completed?
'In the Section H,below,describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD) : ❑ Check this box if LLDs are not installed.
Complete the following checklist:
For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?
0 Yes [:]No* ❑NIA (Check all that apply)Simulated leak rate: x❑ 3 g.p.h❑0.1 g.p.h ❑0.2 g.p.h
M Yes ❑No* Were all LLDs confirmed operational and accurate within regulatory requirements?
x Yes ❑No• Was the testing apparatus properly calibrated?
❑Yes ❑No' ❑x N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak?
0 Yes ❑No• ❑N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak?
❑Yes ❑No* ❑NIA For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected?
0 Yes ❑No• ❑N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test?
Yes No* ❑NIA For electronic LLDs,have all accessible wiring connections been visually inspected?
Yes ❑No" Were all items on the equipment manufacturers'maintenance checklist completed?
'In the Section H,below,describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of 3 Based on CA form dated 03/01
$WRCB,January 2002 Page 1.
Secondary Containment Testing Report Form I/-
This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the
appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and O
printouts from tests(f applicable),should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: CHEVRON 203576 Date of Testing: 11/17/2008
Facility Address: 1125 COFFEE RD. BAKERSFIELD, CA, 93308
Facility Contact: MANAGER Phone: (6 61) 588-9066
Date Local.Agency Was Notified of Testing
Name of Local Agency Inspector(if present during testing): ERNIE MEDINA BFFD
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY, INC.
Technician Conducting Test: AXEL MEDINA
Credentials: CSLB Licensed Contractor SWRCB Licensed Tank Tester
License Type: License Number:
Manufacturer Training
Manufacturer Component(s) Date Training Expires
3. SUMMARY OF TEST RESULTS
Not Repairs Not Repair
Component Pass Fail Tested Made Component Pass Fail Tested Made
Spill Box 1 SUP FILL E 0 0 0 0 0 0 0
Spill Box 2 PLU FILL El 0 0 0 0 0 0 ❑
Spill Box 3 REG FILL E ❑ ❑ ❑ ❑ ❑ ❑ ❑
0 0 0 El 0 0 El 1:1
0 0 0 0 0 0 0
0 0 0 0 Eli Eli I 0
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
If hydrostatic testing was performed,describe what was done with the water after completion of tests:
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements
Technician's Signature: ,d Date: 11/17/2008
SWRCB,January 2006
9. Spill Bucket Testing Report Form
This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and
printouts from tests(if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: CHEVRON 203576 Date of Testing: 11/17/2008
Facility Address: 1125 COFFEE RD. , BAKERSFIELD, CA, 93308
Facility Contact: MANAGER Phone: (6 61) 588-9066
Date Local Agency Was Notified of Testing:
Name of Local Agency Inspector(if present during testing): ERNIE MEDINA BFFD
2. TESTING CONTRACTOR INFORMATION
Company Name: TANKNOLOGY, INC.
Technician Conducting Test: AXEL MEDINA
Credentials 1: ❑CSLB Contractor [�]ICC Service Tech. ❑SWRCB Tank Tester ❑Other(Specify)
License Number:
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: Hydrostatic ❑ Vacuum ❑ Other
Test Equipment Used:VISUAL Equipment Resolution:
Identify Spill Bucket(By Tank 1 1 SUP FILL 2 2 PLU FILL 3 3 REG FILL 4
Number, Stored Product, etc)
X❑Direct Bury X❑ Direct Bury X❑Direct Bury ❑Direct Bury
Bucket Installation Type:
❑Contained in Sump ❑ Contained in Sump ❑Contained in Sump ❑Contained in Sump
Bucket Diameter: 12 12 12
Bucket Depth: 13 13 13
Wait time between applying 0 0 0
vacuum/water and starting test:
Test Start Time(TI ): 1025 1025 1025
Initial Reading(Rl ): 10 10 10
Test End Time(TF ): 1125 1125 1125
Final Reading(RF ): 10 10 10
Test Duration: 1 HR 1 HR 1 HR
Change in Reading(R F-R1 ): 0 0 0
Pass/Fail Threshold or 0 0 0
Criteria:
Ties_ W.-1: ass ® Fail 001 Fail ass ® ail_ ail
COinments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
I hereby certify that all the information contained in this report is true, accurate,and in full compliance with legal requirements.
Technician's Signature: ,� Date: 11/17/2008
1 State laws and regulations do not currently require testing to be performed by a qualified contractor.However,local requirements
8501 N MOPAC EXPRESSWAY,SUITE 400
AUSTIN,TEXAS 78759
(512)451-6334
FAX(512)459-1459
TEST DATE:11/17/08 WORK ORDER NUMBER3163334
CLIENT:CHEVRON PRODUCTS COMPANY SITE:CHEVRON 203576
COMMENTS
Conducting Annual monitor certification with Carol from Bakersfield fire. Replaced (1) Fe Petro
Siphon jet valve, (2) OPW 3/8 test port plug. (1) Hour labor for parts replacement and
troubleshooting. All tests pass.
PARTS REPLACED
QUANTITY
����Q[S-ORIR�"
IO N -
1 SYPHON CHECK VALVE
2 3/8" TEST PORT PLUG WITH WIRE SEAL
HELIUM PINPOINT TEST RESULTS (IF APPLICABLE)
ITE S TESTED
HELIUM PINPOINT LEAK TEST RESULTS
Printed 11/21/2008 08:22 ACRAMER
SITE DIAGRAM
p 7anknology
8501 N MOPAC EXPRESSWAY,SUITE 400
AUSTIN,TEXAS 78759
(512)451-6334
FAX(512)459-1459
TEST DATE:11/17/08 WORK ORDER NUMBER3 16 3 3 3 4
CLIENT:CHEVRON PRODUCTS COMPANY SITE: CHEVRON 203576
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Printed 11/21/2008 08:22 ACRAMER
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(M)&(ESV)Testing Fonn-Vasioo 1-6252007
Emergency Shut Off(ESO) &
Dispenser Emergency Shutoff Valve (ESV)
ANNUAL TEST RECORD LOCATIONS AND TEST DATA
Testing I/—/�-�—n /�C / Date:
Locaton Name: CkY ,v xl � S?4
Store#: 035 Statc m#:
Address: IQ Co ffi e—Q_J_ City: k� ;Q State: G
Emergency Shut Off(ESO) Testing Results
On//-1?-o d in accordance with"ESO Vendor Ixetter(3-21-05).doc",from Valero's Retail
Compliance Department,as a part of annual compliance testing,this representative tested the
Emergency Shut Off SO switches indicated on this sketch.Findings listed below:
Emergency Shut Off(ESO) If No,Provide
Operational? Y N Maintenance Log# Date Called
Dispenser Emergency Shutoff Valve (ESV) Testing Results
On I I-/?-o'd in.accordance with NFPA 30A this representative tested the automatic-closing feature
of the Dispenser Emergency Shutoff VALVE(S)(ESV)located in the supply lines at the base of each
individual island type dispenser indicated on the diagram below.Each device( in all,
would automatically close.Findings listed below:
Disp.Emergency Shut Off If No,Provide
Valve(ESV)Operational? N Maintenance Log# Date Called:
Site Map Of Location and Placement of Devices Testcd:
d 0
pp O O
00 6) o
Signature Of Representative:
b£££9T£ :JOPiO110M
ATG Information
Work Order# 3163334
120100
NOV 17,2008 3:00 PM
C.S.I.CHEVRON 1842
1125 COFFEE RD.
B AK E RS F I E L D,CA.93312
661-588-9066 203576
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP
1 SUPREME 3160 3128 8908 34.36 0.76 74.27
2 PLUS 1382 1367 10686 19.17 0.00 75.27
3 REGULAR 1831 1816 10237 23.31 0.00 71.02
130100
NOV 17,2008 3:00 PM
C.S.I.CHEVRON 1842
1125 COFFEE RD.
BAK E RS F I E L D,CA.93312
661-588-9066 203576
LIQUID STATUS REPORT
SENSOR LOCATION STATUS
1 SUPREME TURBINE SUMP SENSOR NORMAL
2 SUPREME ANNULAR SENSOR NORMAL
3 REG TURBINE SUMP SENSOR NORMAL
4 PLUS ANNULAR SENSOR NORMAL
5 PLUS TURBINE SUMP SENSOR NORMAL
6 REGULARANNULAR SENSOR NORMAL
137300
NOV 17,2008 3:00 PM
C.S.I.CHEVRON 1842
1125 COFFEE RD.
BAKERSF I ELD,CA.93312
661-588-9066 203576
PRESSURE LINE LEAK TEST RESULTS
Q 1:SUPREME
3.0 GAUHR RESULTS:
LAST TEST:
NOV 17,2008 2:48 PM PASS
NUMBER OF TESTS PASSED
PREV 24 HOURS: 49
SINCE MIDNIGHT: 25
0.10 GAL/HR RESULTS:
NO 0.10 DATA AVAILABLE
0.20 GAL/HR RESULTS:
NO 0.20 DATA AVAILABLE
NO-VENT TEST ABORTS:
0 OUT OF 0 TEST
Q 2:PLUS
3.0 GAUHR RESULTS:
3163334
ATG Information
Work Order# 3163334
LAST TEST:
NOV 17,2008 2:46 PM PASS
NUMBER OF TESTS PASSED
PREV 24 HOURS: 41
SINCE MIDNIGHT: 23
0.10 GAUHR RESULTS:
NO 0.10 DATA AVAILABLE
0.20 GAUHR RESULTS:
NO 0.20 DATA AVAILABLE
NO-VENT TEST ABORTS:
0 OUT OF 0 TEST
Q 3:REGULAR
3.0 GAUHR RESULTS:
LAST TEST:
NOV 17,2008 2:59 PM PASS
NUMBER OF TESTS PASSED
PREV 24 HOURS: 121
SINCE MIDNIGHT: 66
0.10 GAUHR RESULTS:
NO 0.10 DATA AVAILABLE
0.20 GAUHR RESULTS:
NO 0.20 DATA AVAILABLE
NO-VENT TEST ABORTS:
0 OUT OF 0 TEST
150301
NOV 17,2008 3:00 PM
#1:C.S.I.CHEVRON 1842
150302
NOV 17,2008 3:00 PM
#2:1125 COFFEE RD.
150303
NOV 17,2008 3:00 PM
#3:BAKERSFIELD,CA.93312
150304
NOV 17,2008 3:00 PM
#4:661-588-9066 203576
151700
3163334
ATG Information
Work Order# 3163334
NOV 17,2008 3:00 PM
SYSTEM TYPE AND LANGUAGE FLAG
SYSTEM UNITS
U.S.
SYSTEM LANGUAGE
ENGLISH
SYSTEM DATE/TIME FORMAT
MON DD YYYY HH:MM:SS xM
150F00
NOV 17,2008 3:00 PM
MON DD YYYY HH:MM:SS xM
110200
NOV 17,2008 3:00 PM
C.S.LCHEVRON 1842
1125 COFFEE RD.
BAKERSF I ELD,CA.93312
661-588-9066 203576
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 UNUSED 9806874 9598638
2 UNUSED 9707198 9574649
3 7SMARTSENSOR BD 507094 506332
4 PLLD SENSOR BD 3948 3942
5 INTERSTITIAL BD 201845 201634
6 4 PROBE/G.T. 162885 162869
7 UNUSED 9705354 9572434
8 UNUSED 9686467 9570873
9 UNUSED 9685294 9565987
10 PLLD POWER BD 100582 100614
11 UNUSED 9688028 9573498
12 UNUSED 9691072 9565228
13 UNUSED 9675747 9567316
14 UNUSED 9690761 9562949
15 UNUSED 9674255 9568202
16 UNUSED 9689726 9573034
COMM 1 RS232 SERIAL BD 14910 14901
COMM 2 FAXMODEM BOARD 40091 40430
COMM 3 ELEC DISP INT. 101111 101174
COMM 4 UNUSED 9686888 9577296
COMM 5 R9485 SERIAL BD 68615 6B683
COMM 6 RS232 SERIAL BD 14910 14943
170300
NOV 17,2008 3:01 PM
LIQUID TYPE
SENSOR LOCATION TYPE
1 SUPREME TURBINE SUMP TRI-STATE(SINGLE FLOAT)
2 SUPREME ANNULAR TRI-STATE(SINGLE FLOAT)
3 REG TURBINE SUMP TRI-STATE(SINGLE FLOAT)
4 PLUS ANNULAR TRI-STATE(SINGLE FLOAT)
5 PLUS TURBINE SUMP TRI-STATE(SINGLE FLOAT)
6 REGULAR ANNULAR TRI-STATE(SINGLE FLOAT)
7 TRI-STATE(SINGLE FLOAT)
8 TRI-STATE(SINGLE FLOAT)
160100
NOV 17,2008 3:01 PM
3163334
ATG Information
Work Order# . 3163334
TANK CONFIGURATION
DEVICE LABEL CONFIGURED
1 SUPREME ON
2 PLUS ON
3 REGULAR ON
4 OFF
160200
NOV 17,2008 3:01 PM
TANK PRODUCT LABEL
TANK PRODUCT LABEL
1 SUPREME
2 PLUS
3 REGULAR
4
160300
NOV 17,2008 3:01 PM
TANK PRODUCT CODE
TANK PRODUCT LABEL
1 SUPREME 1
2 PLUS 2
3 REGULAR 3
4 4
160400
NOV 17,2008 3:01 PM
TANK FULL VOLUME
TANK PRODUCT LABEL GALLONS
1 SUPREME 12068
2 PLUS 12068
3 REGULAR 12068
4 0
160700
NOV 17,2008 3:01 PM
TANK DIAMETER
TANK PRODUCT LABEL INCHES
1 SUPREME 111.50
2 PLUS 111.50
3 REGULAR 111.50
4 0.00
160900
NOV 17,2008 3:01 PM
TANK THERMAL COEFFICIENT
TANK PRODUCT LABEL
1 SUPREME 0.000700
2 PLUS 0.000700
3 REGULAR 0.000700
4 0.000000
161200
NOV 17,2008 3:01 PM
TANK MANIFOLDED PARTNERS
TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS
3163334
ATG Information
Work Order# 3163334
1 SUPREME NONE NONE
2 PLUS NONE NONE
3 REGULAR NONE NONE
4 NONE NONE
162100
NOV 17,2008 3:01 PM
TANK LOW PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 SUPREME 500
2 PLUS S00
3 REGULAR 500
4 0
162200
NOV 17,2008 3:01 PM
TANK HIGH PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 SUPREME 11464
2 PLUS 11464 .
3 REGULAR 11464
4 0
Ll
162300
NOV 17,2008 3:01 PM
TANK OVERFILL LEVEL LIMIT
TANK PRODUCT LABEL GALLONS
1 SUPREME 10861
2 PLUS 10861
3 'REGULAR 10861
4 0
162400
NOV 17,2008 3:01 PM
TANK HIGH WATER LEVEL LIMIT
TANK PRODUCT LABEL INCHES
1 SUPREME 3.0
2 PLUS 3.0
3 REGULAR 3.0
162800
NOV 17,2008 3:01 PM
TANK MAXIMUM VOLUME LIMIT
TANK PRODUCT LABEL GALLONS
1 SUPREME 12068
2 PLUS 12068
3 REGULAR 12068
4 0
162900
NOV 17,2008 3:01 PM
TANK DELIVERY REQUIRED LIMIT
TANK PRODUCT LABEL GALLONS
1 SUPREME 1209
2 PLUS 1209
3 REGULAR 1209
4 0
3163334
ATG Information
Work Order# 3163334
170300
NOV 17,2008 3:01 PM
LIQUID TYPE
SENSOR LOCATION TYPE
1 SUPREME TURBINE SUMP TRI-STATE(SINGLE FLOAT)
2 SUPREME ANNULAR TRI-STATE(SINGLE FLOAT)
3 REG TURBINE SUMP TRI-STATE(SINGLE FLOAT)
4 PLUS ANNULAR TRI-STATE(SINGLE FLOAT)
5 PLUS TURBINE SUMP TRI-STATE(SINGLE FLOAT)
6 REGULAR ANNULAR TRI-STATE(SINGLE FLOAT)
7 TRI-STATE(SINGLE FLOAT)
8 TRI-STATE(SINGLE FLOAT)
178500
NOV 17,2008 3:01 PM
PRESSURE LINE LEAK TANK NUMBER
LINE TANK NUMBER
Q 1:SUPREME 1
Q 2:PLUS NONE
0 3:REGULAR 3
190200
NOV 17,2008 3:01 PM
SOFTWARE REVISION LEVEL
VERSION 327.04
SOFTWARE#346327-100-E
CREATED-07.02.06.10.28
S-MODULE#330160.004-a
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
ISD
PMC
120600
NOV 17,2008 3:02 PM
C.S.I.CHEVRON 1842
1125 COFFEE RD.
BAKERSF IELD,CA.93312
661-588-9066 203576
TANK ALARM HISTORY
TANK 1 SUPREME
HIGH WATER ALARM NOV 17,2008 11:00 AM
OVERFILL ALARM NOV 17,2006 10:45 AM
JUL 24,2008 8:43 AM
SUDDEN LOSS ALARM NOV 17,2008 11:03 AM
NOV 17,2008 10:40 AM
HIGH PRODUCT ALARM NOV 17,2008 10:56 AM
JUL 24,2008 8:43 AM
FEB 6,2007 8:05 AM
INVALID FUEL LEVEL NOV 17,2008 11:04 AM
SEP 19,2008 6:35 PM
PROBE OUT NOV 17,2008 1:25 PM
NOV 17,2008 10:40 AM
SEP 19,2008 8:29 AM
HIGH WATER WARNING NOV 17,2008 11:00 AM
DELIVERY NEEDED NOV 17,2008 11:03 AM
OCT 24,2008 12:00 PM
3163334
ATG Information
Work Order# 3163334
OCT 3,2008 1:26 PM
MAX PRODUCT ALARM NOV 17,2008 10:56 AM
LOW TEMP WARNING JUL 24,2008 8:45 AM
TANK 2 PLUS
HIGH WATER ALARM NOV 17,2008 11:09 AM
OVERFILL ALARM NOV 17,2008 10:50 AM
JUL 24,2008 8:55 AM
HIGH PRODUCT ALARM NOV 17,2008 10:56 AM
INVALID FUEL LEVEL NOV 17,2008 11:07 AM
JUL 24,2008 8:54 AM
PROBE OUT NOV 17,2008 121 PM
NOV 17,2008 10:42 AM
JUL 24,2008 8:56 AM
HIGH WATER WARNING NOV 17,2008 11:09 AM
DELIVERY NEEDED NOV 17,2008 11:07 AM
NOV 17,2008 10:42 AM
NOV 12,2008 7:11 PM
MAX PRODUCT ALARM NOV 17,2008 11:00 AM
LOW TEMP WARNING JUL 24,2D08 8:57 AM
TANK REGULAR _
HIGH WATER ALARM NOV 17,2008 10:47 AM
OVERFILL ALARM NOV 17,200811:10 AM
NOV 17,2008 10:50 AM
JUL 24,2008 8:46 AM
SUDDEN LOSS ALARM NOV 17,2008 11:03 AM
NOV 17,2008 10:41 AM
HIGH PRODUCT ALARM NOV 17,200810:50 AM
JUL 24,2008 8:45 AM
INVALID FUEL LEVEL NOV 17,2008 11:04 AM
NOV 12,2008 3:14 PM
OCT 24,2008 4:24 PM
PROBE OUT NOV 17,2008 1:22 PM
NOV 17,2008 10:41 AM
JUL 24,2008 6:50 AM
HIGH WATER WARNING NOV 17,2008 10:46 AM
DELIVERY NEEDED NOV 17,2008 11:04 AM
NOV 17,2008 10:41 AM
NOV 15,2008 8:54 PM
MAX PRODUCT ALARM NOV 17,2008 10:56 AM
IB0100
NOV 17,2008 3:02 PM
LIQUID DIAGNOSTIC REPORT
SAMPLE HIGH LOW
SENSOR COUNTER REF REF VALUE
1 5 1010 167 101192
2 5 1010 167 95765
3 5 1010 167 101462
4 5 1010 167 98691
5 5 1008 167 99297
6 5 1008 167 102612
7 5 1008 167 999999680
8 5 1008 167 999999680
130200
NOV 17,2008 3:02 PM
3163334
ATG Information
Work Order# 3163334
C.S.I.CHEVRON 1842
1125 COFFEE RD.
BAKERSF IELD,CA.93312
661-588-9066 203576
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 SUPREME TURBINE SUMP
NOV 17,2008 11:15 AM SENSOR OUT ALARM
NOV 17,2008 10:31 AM FUEL ALARM
JUL 24,2008 8:40 AM SENSOR OUT ALARM
2 SUPREME ANNULAR
NOV 17,2008 11:16 AM FUEL ALARM
NOV 17,200811:15 AM SENSOR OUT ALARM
NOV 17,2008 10:32 AM FUEL ALARM
3 REG TURBINE SUMP
NOV 17,2008 11:15 AM SENSOR OUT ALARM
NOV 17,2008 10:29 AM FUEL ALARM
JUL 24,2008 8:40 AM SENSOR OUT ALARM
4 PLUS ANNULAR
NOV 17,2008 11:15 AM SENSOR OUT ALARM
NOV 17,2008 10:28 AM FUEL ALARM
JUL 24,2008 8:33 AM FUEL ALARM
5 PLUS TURBINE SUMP
NOV 17,2008 1:26 PM FUEL ALARM
NOV 17,2008 11:15 AM SENSOR OUT ALARM
NOV 17,2008 10:27 AM FUEL ALARM
6 REGULAR ANNULAR
NOV 17,2008 11:15 AM SENSOR OUT ALARM
NOV 17,2008 10:43 AM FUEL ALARM
NOV 17,2008 10:43 AM SENSOR OUT ALARM
138200
NOV 17,2008 3:02 PM
C.S.I.CHEVRON 1842
1125 COFFEE RD.
BAKERSF IELD,CA.93312
661-588-9066 203576
PRESSURE LINE LEAK ALARM HISTORY REPORT
Q 1:SUPREME
NOV 17,2008 1223 PM PLLD SHUTDOWN ALARM
NOV 17,2008 12:23 PM GROSS LINE FAIL
NOV 17,2008 10:32 AM PLLD SHUTDOWN ALARM
NOV 17,2008 10:31 AM PLLD SHUTDOWN ALARM
JUL 28,2008 7:41 AM PLLD SHUTDOWN ALARM
JUL 24,2008 9:51 AM PLLD SHUTDOWN ALARM
JUL 24,2008 9:51 AM GROSS LINE FAIL
JUL 24,2008 8:32 AM PLLD SHUTDOWN ALARM
Q 2:PLUS
NOV 17,2008 1:26 PM PLLD SHUTDOWN ALARM
NOV 17,2008 12:05 PM PLLD SHUTDOWN ALARM
NOV 17,2008 12:05 PM GROSS LINE FAIL
NOV 17,2008 11:15 AM PLLD SHUTDOWN ALARM
NOV 17,2008 11:09 AM PLLD SHUTDOWN ALARM
NOV 17,2008 1028 AM PLLD SHUTDOWN ALARM
NOV 17,2008 10:27 AM PLLD SHUTDOWN ALARM
JUL 24,2008 9:47 AM PLLD SHUTDOWN ALARM
JUL 24,2008 9:47 AM GROSS LINE FAIL
JUL 24,2008 8:33 AM PLLD SHUTDOWN ALARM
Q 3:REGULAR
NOV 17,2008 1:06 PM PLLD SHUTDOWN ALARM
NOV 17,2008 1:06 PM GROSS LINE FAIL
NOV 17,2008 11:15 AM PLLD SHUTDOWN ALARM
NOV 17,2008 10:43 AM PLLD SHUTDOWN ALARM
NOV 17,2008 10:41 AM PLLD SHUTDOWN ALARM
NOV 17,2008 10:40 AM PLLD SHUTDOWN ALARM
NOV 17,2008 10:30 AM PLLD SHUTDOWN ALARM
NOV 17,2008 10:29 AM PLLD SHUTDOWN ALARM
OCT 3,2008 222 PM FUEL OUT
3163334
ATG Information
Work Order# 3163334
AUG 5,2008 5:49 PM FUEL OUT
3163334
_ h
r Tanknology caw fx*$
�s
8501 N. MoPac Expressway, Suite 400
Austin,Texas 78759 5 Pi/f U��C&TS 2% v"'
Phone: (512)451-6334 p,Q;g���✓2� TSB
Fax: (512)459-1459 Date Printed and Mailed: 11/21/2008
BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
INSPECTOR STEVE UNDERWOOD
1501 TRUXTUN AVE.
BAKERSFIELD, CA. 93301
Test Date: 11/17/2008
Order Number: 3163334
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
CHEVRON 203576
1125 COFFEE RD.
BAKERSFIELD, CA. 93308
Testing performed:
Leak detector tests
Monitor Certification
Secondary Containment-Spill Container
Sincerely,
Dawn Kohlmeyer �o
Manager, Field Reporting O
0
Ric'
17�070>f0 TANKNOLOGY CERTIFICATE OF TESTING
9y 8501 N MOPAC EXPRESSWAY,SUITE 400 AUSTIN,TEXAS 78759
TELEPHONE(512)451-6334 FAX(512)459-1459
PURPOSE: COMPLIANCE TEST RESULT SUMMARY REPORT
TEST DATE: 11/17108 WORK ORDER NUMBER: 3163334
CUSTOMER PO: 4691359
CLIENT: CHEVRON PRODUCTS COMPANY SITE:CHEVRON 203576
145 S.STATE COLLEGE BLVD 1125 COFFEE RD.
SUITE 400 BAKERSFIELD,CA 93308
BREA,CA 92821
TINA SCOLARO MANAGER
(714)671-3356 (661)588-9066
Product Pipe Ti htness Test Results
LINE LINE L E DELIVERY IfiAP`/iCT
ID PRODUCT MATERIAL E TEST RESULT FINAL L RATE (gph) VALVE
A B C D A B C D FU.NC-�11Q.
12k 1 SUPREME DW FIBERG PRESSURE Y
12k 2 PLUS DW FIBERG PRESSURE Y
12k 3 REGULAR DW FIBERG PRESSURE Y
Existing Line Leak Detector Test
® EXI$TINGjLEAK DES1TE�C OR#1, ®�I EXI$;11NGjllE'AK DEgTLEC O #2
LINE MAN FACTURER MODEL# ERIAL# RESULT MANUFACTURER MODEL# SERIAL# RESULT
ID
12k 1 VEEDERROOT ELECTRONI 011505 P
12k 2 VEEDERROOT ELECTRONI 013652 P
12k 3 VEEDERROOT ELECTRONI 013649 P
New Replacement Line Leak Detector Test
LINE MANUFACTURER FMODEL# SERIAL# RES LT MANUFACTURER MODEL SERIAL# RESUL
ID
For owner detailed report information,visit www.tanknology.com and select On-Line Reports-WRAP,or contact your local Tanknology office.
Tester Name:AXEL MEDINA Technician Certification Number:
Printed 11/21/2008 08:22 ACRAMER
INDIVIDUAL TANK INFORMATION AND TEST RESULTS
i T"rnldW*39y
8501 N MOPAC EXPRESSWAY,SUITE 400
TEST DATE: 11/17/08 AUSTIN,TEXAS 78759(512)451-6334 WORK ORDER NUMBER: 3163334
CLIENT: CHEVRON PRODUCTS SITE: CHEVRON 203576
TAN IIJFaORI{AATIQN-
Tank ID: 12k 1 Tank manifolded: No Bottom to top fill in inches: 165.0
Product: SUPREME Vent manifolded: YES Bottom to grade in inches: 170.0
Capacity in gallons: 12,068 Vapor recovery manifolded: YES Fill pipe length in inches: 54.0
Diameter in inches: 111.00 Overfill protection: YES Fill pipe diameter in inches: 4.0
Length in inches: 292 Overspill protection: YES Stage I vapor recovery: DUAL
Material: Dw STEEL Installed: ATG Stage II vapor recovery: ASSIST
CP installed on:
COMMENTS
TANK TEST RESULTS t M th�d: LEAK DETECTOR TEST RESULTS Test method:
Tes e o
PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced
Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2
UFT/OFT: Make: VEEDERROOT
Fluid volume in gallons: Model: ELECTRONIC
Tank water level in inches: S/N: 011505
Test time: NOT Open time in sec:
Number of thermisters: TESTED Holding psi: NOT
Specific gravity: Resiliency cc: TESTED
Water table depth in inches: Test leak rate ml/m: 189.0
Determined by(method): Metering psi:
Leak rate in gph: Calib. leak in gph: 3.00
Result: Results: PASS
COMMENTS COMMENTS
ULLAGE TES° RESULTrSTest Metho LINE TEST RESULTS Test type
Test time: Material: DW FIBERG
Ullage volume: Diameter(in): 2.0
Ullage pressure: Length (ft): 225.0
Results: Test psi:
Bleedback cc:
DATA FOR UTS-4T ONLY: Test time(min):
Test 1:Start time:
Time of test 1: Finish psi: NOT NOT NOT NOT
Temperature: NOT Vol change cc:
Test 2:Start time: TESTED TESTED TESTED TESTED
Flow rate(cfh): TESTED Finish psi:
Time of test 2: Vol change cc:
Test 3:Start time:
Temperature: Finish psi:
Flow rate(cfh): Vol change cc:
Time of test 3: Final gph:
Temperature: Result:
Flow rate(cfh): Pump type: PRESSURE
COMMENTS Pump make: FE PETRO
COMMENTS Impact Valves Operational: YES
Printed 11/21/2008 08:22 ACRAMER
INDIVIDUAL TANK INFORMATION AND TEST RESULTS
.Targa ology
8501 N MOPAC EXPRESSWAY,SUITE 400
TEST DATE: 11/17/08 AUSTIN,TEXAS 78759(512)451-6334 WORK ORDER NUMBER: 3163334
CLIENT: CHEVRON PRODUCTS SITE: CHEVRON 203576
TANKj1NFi0RMA,TI
Tank ID: 12k 2 Tank manifolded: NO Bottom to top fill in inches: 166.0
Product: PLUS Vent manifolded: YES Bottom to grade in inches: 171.0
Capacity in gallons: 12,068 Vapor recovery manifolded: YES Fill pipe length in inches: 55.0
Diameter in inches: 111.00 Overfill protection: YES Fill pipe diameter in inches: 4.0
Length in inches: 292 Overspill protection: YES Stage I vapor recovery: DUAL
Material: Dw STEEL Installed: ATG Stage 11 vapor recovery: ASSIST
CP installed on:
COMMENTS
TANK TES RESULTS Te ethod: L DETE OR TES OEM ethod
PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced
Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2
LIFT/OFT: Make: VEEDERROOT
Fluid volume in gallons: Model: ELECTRONIC
Tank water level in inches: S/N: 013652
Test time: NOT Open time in sec:
Number of thermisters: TESTED Holding psi: NOT
Specific gravity: Resiliency cc: TESTED
Water table depth in inches: Test leak rate ml/m: 189.0
Determined by(method): Metering psi:
Leak rate in gph: Calib. leak in gph: 3.00
Result: Results: PASS
COMMENTS COMMENTS
ULLAGE TEST RESULTSTeSt Met od: LINE TEST RESULTS Test type.ILj N
Test time: Material: Dw FIBERG
Ullage volume: Diameter(in): 2.0
Ullage pressure: Length(ft): 225.0
Results: Test psi:
Bleedback cc:
DATA FOR UTS-4T ONLY: Test time(min):
Test 1:Start time:
Time of test 1: Finish psi: NOT NOT NOT NOT
Temperature: NOT Vol change cc: TESTED TESTED TESTED TESTED
Test 2:Start time:
Flow rate(cfh): TESTED Finish psi:
Time of test 2: Vol change cc:
Test 3:Start time:
Temperature: Finish psi:
Flow rate(cfh): Vol change cc:
Time of test 3: Final gph:
Temperature: Result:
Flow rate(cfh): Pump type: PRESSURE
COMMENTS Pump make: FE PETRO
COMMENTS Impact Valves Operational: YES
IL
Printed 11/21 12008 08:22 ACRAMER
INDIVIDUAL TANK INFORMATION AND TEST RESULTS
.p,Tankw1ogy
TEST DATE: 11/17/08 '8501 N MOPAC EXPRESSWAY,SUITE 400 WORK ORDER NUMBER: 3163334
AUSTIN,TEXAS 78759(512)451-6334
CLIENT: CHEVRON PRODUCTS SITE: CHEVRON 203576
TANKiI_M�ORMATION
Tank ID: 12k 3 Tank manifolded: No Bottom to top fill in inches: 165.0
Product: REGULAR Vent manifolded: YES Bottom to grade in inches: 170.0
Capacity in gallons: 12,068 Vapor recovery manifolded: YES Fill pipe length in inches: 54.0
Diameter in inches: 111.00 Overfill protection: YES Fill pipe diameter in inches: 4.0
Length in inches: 292 Overspill protection: YES Stage I vapor recovery: DUAL
Material: Dw STEEL Installed: ATG Stage II vapor recovery: ASSIST
CP installed on:
COMMENTS
TANK TEST RE LILTS Test etho L D TOR _ ST R LILTS Tes method
PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced
Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2
LIFT/OFT: Make: VEEDERROOT
Fluid volume in gallons: Model: ELECTRONIC
Tank water level in inches: S/N: 013649
Test time: NOT Open time in sec:
Number of thermisters: TESTED Holding psi: NOT
Specific gravity: Resiliency cc: TESTED
Water table depth in inches: Test leak rate ml/m: 189.0
Determined by(method): Metering psi:
Leak rate in gph: Calib. leak in gph: 3.00
Result: Results: PASS
COMMENTS COMMENTS
ULLAGE l jJlNEJTE ST RESULTS r st type
IIN sin
Test time: Material: Dw FIBERG
Ullage volume: Diameter(in): 2.0
Ullage pressure: Length (ft): 225.0
Results: Test psi:
Bleedback cc:
DATA FOR UTS-4T ONLY: Test time (min):
Test 1:Start time:
Time of test 1: Finish psi: NOT NOT NOT NOT
Temperature: NOT Vol change cc:
Test 2:Start time: TESTED TESTED TESTED TESTED
Flow rate(Cfh): TESTED Finish psi:
Time of test 2: Vol change cc:
Test 3:Start time:
Temperature: Finish psi:
Flow rate(cfh): Vol change cc:
Time of test 3: Final gph:
Temperature: Result:
Flow rate(cfh): Pump type: PRESSURE
COMMENTS Pump make: FE PETRO
COMMENTS Impact Valves Operational: YES
Printed 11/21/2008 08:22 ACRAMER